The nurse is teaching a female client about preventive measures for urinary tract infections (UTI). Which information should the nurse include?

Hold urine for at least 10 minutes to dilute bacteria.

Empty the bladder before and after sexual intercourse.

Drink large amounts of fluids before bedtime.

Cleanse the perineal area in a circular motion after voiding.

Answer and Explanation

The Correct Answer is B

Choice A reason: Holding urine for at least 10 minutes does not dilute bacteria and can actually increase the risk of infection.

Choice B reason: Emptying the bladder before and after sexual intercourse helps flush out bacteria that may have been introduced during intercourse, reducing the risk of UTI.

Choice C reason: Drinking large amounts of fluids before bedtime is not specific to preventing UTIs and may lead to nighttime urination, disrupting sleep.

Choice D reason: Cleansing the perineal area in a circular motion is not the recommended method. The recommended practice is to wipe from front to back to prevent the spread of bacteria from the rectal area to the urethra.

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Correct Answer is A

Explanation

Choice A reason: Starting with less sensitive questions helps build rapport and makes the client feel more comfortable before addressing more sensitive topics such as domestic violence.

Choice B reason: Getting the most difficult questions over with first can make the client feel uncomfortable and defensive, potentially hindering the interview process.

Choice C reason: Sharing personal values is not appropriate and can bias the interview, making the client less likely to open up.

Choice D reason: Asking vague, nonspecific questions does not help gather the necessary information effectively and may confuse the client.

A. Activity intolerance. B. Fluid volume excess. C. Ineffective airway clearance. D. Altered nutrition; less than body requirements.

Correct Answer is C

Explanation

Choice A reason: Activity intolerance is important but not the highest priority immediately after surgery.

Choice B reason: Fluid volume excess can be a concern but is not as critical as ensuring effective airway clearance.

Choice C reason: Ineffective airway clearance is the highest priority as it directly impacts the client’s ability to breathe and maintain adequate oxygenation, which is crucial for postoperative recovery.

Choice D reason: Altered nutrition is also important but is not the immediate priority compared to airway clearance.

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The nurse is teaching a female client about preventive measures for urinary tract infections (UTI). Which information should the nurse include?

Nursing Test Bank

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